Zaccardi R, Abbott J, Koziol-McLain J
Department of Nursing, University Hospital, Denver.
Ann Emerg Med. 1993 May;22(5):799-804. doi: 10.1016/s0196-0644(05)80794-2.
To describe the psychological and functional consequences of miscarriage in women after emergency department treatment and to identify variables that are associated with feelings of loss and grief.
A prospective telephone follow-up study.
The ED of an urban teaching hospital.
A consecutive sample of 44 women who were treated for miscarriage.
Women were contacted a median of 17.5 days after their miscarriage. Although the pregnancy had been planned by only 12 women (28%), 30 (70%) stated they wanted the pregnancy once they knew they were pregnant. Women commonly felt a sense of loss (82%) and most experienced some limitations with daily functioning (77%). Although wanting the pregnancy was associated with a sense of loss, 40% of the women who did not want the pregnancy experienced loss.
Grief reactions are pervasive after spontaneous miscarriage. There is no subgroup of women who could be expected not to experience loss and grief. The ED management of the woman who miscarries should address the anticipated loss and grief.
描述急诊治疗后女性流产的心理和功能后果，并确定与失落和悲伤情绪相关的变量。
前瞻性电话随访研究。
城市教学医院的急诊科。
44名因流产接受治疗的女性连续样本。
女性流产后中位数17.5天接受随访。虽然只有12名女性（28%）计划怀孕，但30名（70%）表示一旦知道自己怀孕就想要这个孩子。女性普遍感到失落（82%），大多数人在日常功能方面有一些限制（77%）。虽然想要怀孕与失落感有关，但40%不想要怀孕的女性也经历了失落。
自然流产后悲伤反应普遍存在。没有哪一组女性可以预期不会经历失落和悲伤。流产女性的急诊处理应关注预期的失落和悲伤。
